Individual
MRS. ANTOINETTE L. ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
350 BROADWAY ST, SUITE 205, BOULDER, CO 80305-3343
(303) 440-4234
(303) 442-1630
Mailing address
193 N CEDAR BROOK RD, BOULDER, CO 80304-0417
(303) 440-4234
(440) 442-1630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989635
CO
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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